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LGBTQ2S+ childbearing individuals and perinatal mental health: A systematic review

Abirami Kirubarajan1,2, Lucy C Barker2,3,4, Shannon Leung1

  • 1University of Toronto Faculty of Medicine, Toronto, ON, Canada.

BJOG : an International Journal of Obstetrics and Gynaecology
|January 20, 2022
PubMed

Insights

The perinatal period uniquely impacts LGBTQ2S+ childbearing individuals' mental health due to systemic inequities. Improving care requires provider education, inclusive language, and tailored support to address these challenges.

Area of Science:

  • Perinatal Mental Health
  • LGBTQ2S+ Health Equity
  • Healthcare Disparities

Background:

  • The perinatal period presents unique mental health challenges for lesbian, gay, bisexual, transgender, queer, and Two-Spirit (LGBTQ2S+) childbearing individuals.
  • Systemic inequities and exclusion from care significantly affect their wellbeing.

Purpose of the Study:

  • To characterize and synthesize the perinatal mental health experiences of LGBTQ2S+ childbearing individuals.
  • To identify challenges in symptomatology, access to care, and care-seeking behaviors.

Main Methods:

  • A systematic review following PRISMA guidelines was conducted.
  • Eight databases were searched from inception to March 1, 2021.
  • Qualitative findings were synthesized using meta-aggregation (JBI SUMARI) and the ConQual approach.

Main Results:

  • 26 studies with 1199 LGBTQ2S+ participants were included.
  • Key findings include heteronormativity, cisnormativity, isolation, stigma, and provider knowledge gaps.
  • Barriers to accessing mental healthcare and health system gaps were identified.

Conclusions:

  • Perinatal mental health for LGBTQ2S+ individuals is uniquely impacted by systemic inequities and exclusion.
  • Strategies to improve care include provider education, inclusive language, trauma-informed practices, and cultural humility.
  • Healthcare providers must address inequities to enhance perinatal care for LGBTQ2S+ populations.
Abstract

Keywords:
LGBTQ2S+gender identitymental healthperinatalsexual identity

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